Please print and complete this form and send it with your remittance by post to:

David Shelbourn
DEHS Treasurer
56 Priory Road
London
N8 7EX

Personal details

Title: ......................            Forename(s):.......................……....…………………..............

Surname: ............................................………………………………....……..........……...  

Address: ........................................................................……………....……...........……......

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                  .................................................................. Postcode: .....................……… ........

Tel: ...........................................……….... E-mail: .................................................................

Payment details

I enclose my subscription of:

 - £15 * (for UK members)    
 - £18    (for overseas members, payable by Sterling International Money Order )  

I wish to make a donation to DEHS £10    £20    £30   other £ ................

Total payment enclosed £ ...................    

Please make cheque payable to: DEHS

* Please note that the subscription year runs from 1 August to 31 July of the following
year. New members joining on or after 1 February should enclose £8 for the half year
to August.

Data Protection Act
 DEHS complies with the Principles of the Data Protection Act (1998). The data provided by members are
held as computer records and used only for membership administration, distribution of DEHS publications
and for notification of forthcoming DEHS events. In particular, we undertake not to pass on or sell such
information to any third party. Please address any data protection enquiries to our Membership Secretary,
by mail or at  membership@dehs.org.uk

Areas of interest

What do you consider to be your most interesting or significant connection with the history
of defence electronics?

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Are you willing to be interviewed to record your reminiscences and experiences on tape
for our oral archive?    YES/NO

Would you be interested in conducting interviews in your locality?    YES/NO